Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient

Background. Ameloblastic fibroodontoma (AFO) is a rare mixed odontogenic tumor with epithelial and mesenchymal components. AFO presents as a painless swelling in the mandible or maxilla. Radiographs show a well-defined radiolucent area containing various amounts of radiopaque material of irregular s...

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Main Authors: Esther Manor, Elena Kan, Lipa Bodner
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2012/969687
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author Esther Manor
Elena Kan
Lipa Bodner
author_facet Esther Manor
Elena Kan
Lipa Bodner
author_sort Esther Manor
collection DOAJ
description Background. Ameloblastic fibroodontoma (AFO) is a rare mixed odontogenic tumor with epithelial and mesenchymal components. AFO presents as a painless swelling in the mandible or maxilla. Radiographs show a well-defined radiolucent area containing various amounts of radiopaque material of irregular size and form. The common treatment is enucleation. It is not an aggressive tumor but recurrence and malignant transformation are possible. Methods. An AFO of the mandible of a 3-year-old female is reported. Panoramic radiograph and CT scan revealed a unilocular lesion with radiopaque center and radiolucent margins. Enucleation was performed with a good outcome. Results. Histopathology was a classic AFO. The karyotype was normal. No recurrence was noted at 12 months. Conclusions. As it is a benign tumor with low recurrence rate, conservative surgery is the treatment of choice. As malignant transformation to ameloblastic fibrosarcoma or ameloblastic odontosarcoma is possible despite the normal karyotype, long-term followup is recommended.
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spelling doaj-art-4d5428178cc442108b29f39141bd98692025-02-03T01:28:25ZengWileyCase Reports in Dentistry2090-64472090-64552012-01-01201210.1155/2012/969687969687Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric PatientEsther Manor0Elena Kan1Lipa Bodner2Institute of Human Genetics, Soroka Medical Center, and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, IsraelDepartment of Pathology, Soroka Medical Center, and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84105, IsraelDepartment of Oral and Maxillofacial Surgery, Soroka Medical Center, and Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, Beer-Sheva 84105, IsraelBackground. Ameloblastic fibroodontoma (AFO) is a rare mixed odontogenic tumor with epithelial and mesenchymal components. AFO presents as a painless swelling in the mandible or maxilla. Radiographs show a well-defined radiolucent area containing various amounts of radiopaque material of irregular size and form. The common treatment is enucleation. It is not an aggressive tumor but recurrence and malignant transformation are possible. Methods. An AFO of the mandible of a 3-year-old female is reported. Panoramic radiograph and CT scan revealed a unilocular lesion with radiopaque center and radiolucent margins. Enucleation was performed with a good outcome. Results. Histopathology was a classic AFO. The karyotype was normal. No recurrence was noted at 12 months. Conclusions. As it is a benign tumor with low recurrence rate, conservative surgery is the treatment of choice. As malignant transformation to ameloblastic fibrosarcoma or ameloblastic odontosarcoma is possible despite the normal karyotype, long-term followup is recommended.http://dx.doi.org/10.1155/2012/969687
spellingShingle Esther Manor
Elena Kan
Lipa Bodner
Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient
Case Reports in Dentistry
title Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient
title_full Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient
title_fullStr Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient
title_full_unstemmed Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient
title_short Ameloblastic Fibroodontoma of the Mandible with Normal Karyotype in a Pediatric Patient
title_sort ameloblastic fibroodontoma of the mandible with normal karyotype in a pediatric patient
url http://dx.doi.org/10.1155/2012/969687
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